Patient Care Representative- PCC Locations

Position: Patient Care Representative- Multiple PCC Locations
PCC Community Wellness Center is seeking compassionate, mission-driven Patient Care Representatives to support access to high-quality care across our Chicago and near-west suburban health centers. PCRs play a key role in creating a welcoming, patient-centered experience by providing exceptional front-desk, scheduling, and administrative support to patients, providers, and care teams. Float PCRs will work across multiple PCC locations-including Austin, ARC, Steinmetz, Salud, West Town/Boulevard, Lake Street, Melrose Park, Berwyn (PCC South), and West Suburban Hospital sites-based on staffing needs.

Shifts may range between 8:00 AM and 8:00 PM depending on site needs, with occasional Saturday coverage required.

Job Summary:

Responsible for the operations of the reception area, registering and scheduling of patients, collecting co-pays and money charged for services rendered and handling all patient inquiries.

Essential Duties & Responsibilities:

* Greets all patients, staff, visitors, and vendors in a professional and welcoming manner.

* Schedules appointments to track billing slips to ensure charge capture occurs.

* Prepares for day, reviews Eligibility and Phone report, prepares any new patient charts and/or paperwork at patient presentation.

* Performs registration in clinic setting and via telephone to ensure demographic and insurance information is accurate and complete.

* Obtains copies of insurance cards, driver's license, authorizations, and referrals and scan or enter them into electronic health record.

* Ensures all requirements and fields noted on the Check-In and Check-Out page are satisfied and complete.

* Collects co-payments and outstanding balances at Check-In, and time of service balances and estimated balances at Check-Out according to policy.

* Reviews and complies with Patient Account Notes and Appointment Notes in electronic health record.

* Refers patients to Financial Counselors regarding past due balances, questions and/or resolution that PCRs are unable to answer.

* Processes claim creations in electronic health record at Check-Out.

* Submits appropriate claims for Real Time Adjudication

* Works "Day End Review" report and designated Tier-based HOLD Claim Worklist(s) daily.

* Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment.

* Answers the telephone directing calls to appropriate areas or takes messages and relays them to the appropriate staff member as necessary.

* Informs patient of privacy policies and procedures.

* Informs patients of delays in physician schedules, assists with patient comfort while delayed.

* Schedules follow-up appointments, creates appointment ticklers in electronic health record, and works associated Worklists relative to both based on assignment.

* Creates a Time-of-Service batch and links it to a deposit batch daily.

* Reconciles, balances, and closes each batch /drawer at end of day.

* Turns over batches to the designated resource daily.

* Covers for other staff in reception, including other office locations.

* Processes all releases for medical information ensuring appropriate consents are completed, adhering to PCC's HIPAA and privacy guidelines.

* Drive continual quality improvement through participation in organizational quality improvement efforts that may include but are not limited to patient satisfaction, clinical and operational quality improvement initiatives.

* Maintains a neat and orderly work area.

* Performs other duties as assigned